Individual
KYLIE N DOORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QIDP
Contact information
Practice address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(773) 506-3161
Mailing address
5097 N ELSTON AVE STE 301, CHICAGO, IL 60630-2460
(708) 606-3228
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IL
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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